Manual Prepared by Holly Vugia, PhD, LCSW, PPSC
Updated April 2013 by R. Ghezzi, LCSW, PPSC
1

Introduction………………………………………………………………………………………………………. 3
PPSC Staff………………………………………………………………………………………………………. 3
School Social Work: The Context and the Discipline……………………………………………………….. 3
Obtaining the SSW & CWA PPSC at SJSU…………………………………………………………………. 4
I. Developing a PPSC Portfolio………………………………………………………………………… 4
II. Completing MSW Course and Field Work………………………………………………………….. 7
III. Submitting a PPSC Application……………………………………………………………………… 7
Guidelines and Forms………………………………………………………………………………………….. 8
PPSC Student Timeline………………………………………………………………………………….. 9
PPSC Personal Statement Guidelines…………………………………………………………………. 10
PPSC Journal Guidelines………………………………………………………………………………... 11
Portfolio Log for Student’s Records…………………………………………………………………….. 12
Notice of Intent to Pursue the PPSC…………………………………………………………... 13
Field Education Learning Agreement: Authorization in School Social Work……………… 14
Field Education Learning Agreement: Authorization in Child Welfare & Attendance…….. 16
Field Hours Verification…………………………………………………………………………. 17
Evaluation of Candidate in School Placement by Field Instructor Form…………………... 18
Program Planning Form………………………………………………………………………… 20
Contact Information Update Sheet……………………………………………………………… 21
Professional School Social Work Organizations……………………………………………… 22
PPSC Checklist ………………………………………………………………………………….. 23
2

School of Social Work Pupil Personnel
Master of Social Work Services Credential
This manual provides a guide for students pursuing the School Social Work Pupil Personnel Services Credential
(PPSC) at SJSU. The State of California regulates four types of PPSCs:
1.
School Counseling,
2.
School Psychology,
3.
School Social Work, and
4.
Child Welfare and Attendance (largely relates to truancy issues).
Successfully completing the MSW School Social Work sequence makes one eligible to apply for the California State
PPSC in two areas: 1) School Social Work, and 2) Child Welfare & Attendance. These credentials are awarded and administered through the California Commission on Teacher Credentialing (CCTC) — not SJSU. Once obtained, these credentials must be renewed every five years through the CCTC. California public schools typically require these credentials for one to be employed as a preschool through 12 th grade school social worker. The SJSU MSW
PPSC program is accredited by the CCTC. The CCTC assigns one department on each university campus as the coordinator of credentials and usually, this is the education department, as it is at SJSU. For this reason, when students reach the point of applying for the credential, they will be interfacing with the Education Department’s
Credentialing Office.
This manual includes social work departmental forms and information sheets at the end. These will be referenced with specific notations. CCTC and SJSU Credentialing office forms are not duplicated in this manual, but are referred to by website address. Students are encouraged to familiarize themselves with the CCTC and SJSU Credential
Office websites ( www.ctc.ca.gov
and http://www.sjsu.edu/education/departments/cred_office/).
PPSC Staff
The PPSC Program has an appointed coordinator, TBD (also the MSW program Field Director). In addition, Rachel
Bull Ghezzi, LSCW, PPSC serves as the Faculty Field Liaison. Their contact information is as follows:
Faculty Member Role Phone Office Location Email
Dr. Jacky Bloom PPSC Coordinator 408.924.5846 WSQ 215D
Rachel Bull Ghezzi Faculty Field Liaison 408.924.5811 WSQ 217J
Jacky.bloom@sjsu.edu rachel.bull@sjsu.edu
School Social Work: The Context and the Discipline
Many incoming MSW students are unfamiliar with the field of school social work, despite its existence since the
1900’s. Then, often called “visiting teachers,” school social workers served at the intersection of home and school, just as they do today. In 1978, the National Association of Social Workers (NASW) set forth its first set of Standards for School Social Work Services; most recently updated in 2012. These can be found at http://www.socialworkers.org/practice/standards/naswschoolsocialworkstandards.pdf
In many states, school social work holds a relatively strong presence. In California, the use of school social workers varies by geographic area, a particular district’s commitment to the social work role, and budget constraints.
Proposition 13 drastically cut funding for services across the state. Some districts use school social workers heavily, while others hire primarily school counselors. Gains have been made regarding the education of administrators and legislators about the role of school social workers. This is largely the result of efforts by the California Association of
School Social Workers (CASSW).
3

School social workers tend to be in frontline K-12 service positions. Some serve one or two schools in a district, while others will have large numbers of schools or full district responsibility. In addition, specific target programs on school campuses addressing such issues as drop-out prevention may hire school social workers. Tasks may include individual, family, group, classroom, school-system, district-wide, or community-wide intervention, depending on the nature of the challenge. School social workers frequently work with underserved and oppressed people and communities. In a large sense, the school social worker provides a link between the student, school, home, and community. The overall objective is to help students achieve their potential in a context of biopsychosocial wellbeing.
Reasons that school social workers like their jobs include the frontline and preventative nature of the position; the ongoing job stimulation; the potential for advocacy and change; the chance to work cross culturally; the variability in service delivery setting (office, classroom, playground, home, etc.); the opportunity to bring the social work perspective to the educational team; and the school calendar schedule. For some, school social work can feel isolating, as there is often only one social worker at a school site, and time is required to become an accepted/trusted part of any school team. Some MSWs serve in schools without being district employees and instead work for a contract agency such as county mental health or a community based organization.
Obtaining the SSW & CWA PPSC at SJSU
There are essentially three components to successfully attain the school social work credential at SJSU:
I. developing a PPSC Portfolio,
II. completing MSW course and field work, and
III. submitting a PPS credential application.
I. Developing a PPSC Portfolio
The SJSU MSW program maintains a PPSC Portfolio for all PPSC students. The PPSC Portfolio reflects and records student learning. It becomes important for verification of credential application documents, and is essential if PPSC holders move out of California and want to obtain PPSC equivalency in another state. For these reasons, treat the
PPSC Portfolio requirements with seriousness. Even though this portfolio is maintained in the PPSC office, students
are advised to keep a copy of all documents for their own records. Maintain a PPSC file at home or office. It will be invaluable for credential application, renewal, and in case of unforeseen loss of any records at the university or state.
To begin a PPSC Portfolio, students MUST:
1.
be sure the foundation year internship is NOT IN A SCHOOL-BASED SETTING,
2.
attend a PPSC information meeting in the fall of the foundation year,
3.
read this manual on the website,
4.
submit a Notice of Intent to Pursue the PPSC (see form section) before January 31 of the foundation year, and
5.
submit a Personal Statement (see instruction section) by January 31 of the foundation year.
Eventually, the PPSC Portfolio will need to include the items listed in the chart below. The due dates are also noted, as well as the parties responsible for completing the documents. The student is ultimately responsible for seeing that copies of all documents be submitted for the portfolio, except for the Exit Review which is filled out with the PPSC
Coordinator.
4

Table of Required PPSC Portfolio Documents
Document
Notice of Intent to Pursue PPSC
Personal Statement
Date Due
1/31 of Foundation Year
1/31 of Foundation Year
TB Clearance
PPSC Learning Agreement
(SSW & CWA sections)
Journal of Field Experience
CBEST Results--Passed
Certificate of Clearance (Fingerprints)
Evaluation of Candidate in School
Placement by Field Instructor
Before 2
End of 1 nd st
Internship
Year Placement
Semester SSW
Before Exit Interview
Before Exit Interview
Before Exit Interview
End of 2 nd Semester
Responsible Party(s)*
Student
Student
Student
Student, Field Instructor, FFL
Student
Student
Student
Student, Field Instructor, FFL
PPSC Field Hours Verification
Copy of Transcript showing MSW
Completed
Completed Exit Interview
End of 2 nd Semester Internship
Before Exit Interview
Student, Field Instructor, FFL
Student
Before Credential Application Student, PPSC Coordinator
Description of Required PPSC Portfolio Documents:
Items with an asterisk (*) require additional fees; current CTCC fees may be found at http://www.ctc.ca.gov/credentials/leaflets/cl659.pdf
Notice of Intent to Pursue PPSC: Announces student’s commitment to joining SSW sequence (see Forms).
Personal Statement: An essay articulating student’s interest in SSW (see Guidelines).
TB Clearance*: A copy of negative TB Test or equivalent. Most schools will require this before the second year internship. A copy of this is acceptable. For the PPSC Portfolio, the TB test should be no more than 2 years old.
PPSC Learning Agreement: Learning agreements completed specifically for SSW internship; one is for
SSW credential, one is for CWA credential; these are separate from the learning agreements completed for the regular field program (see Forms); both must be signed by student, Field Instructor (FI ) & Field Faculty
Liaison (FFL). Second year students are required to complete these PPSC Learning Agreements as well as the regular MSW Field Program Learning Agreement.
Journal of Field Experience: Student’s experiential account of required field experiences (see Guidelines).
CBEST Results*: The California Basic Educational Skills Test (CBEST) must be passed before applying for the PPSC credential. This is a test required of all teachers in California, assessing math, reading, and writing skills. Students should take this early in the MSW program, to allow time for retesting if needed. Test results will be sent to the student, who should submit a copy for the PPSC Portfolio. Test information, schedules, and study guides may be found online at http://www.cbest.nesinc.com/ . Most social work students report that it is helpful to review mathematics basics before taking the exam.
Certificate of Clearance*: This is a document that is processed after Live Scan Fingerprinting* is completed. SSW placements will require students to be fingerprinted prior to the internship, but this cannot be used for the PPSC application. A new fingerprint check must be run. If students already have a teaching credential, a copy of the credential may be submitted in place of this document. To obtain the Certificate of
Clearance, one must:
1.
Submit the Live Scan Form to the fingerprint processing location one is using (SJSU Police offers this: appointments preferred 408-924-2172). The form can be obtained at
5

http://www.ctc.ca.gov/credentials/leaflets/41-LS.pdf
(or see forms). Save your copy of this form
(called “Request for Live Scan Service” 41-LS). Some years, it is required that this is submitted with the Certificate of Clearance at the time of PPSC application. Note: This form has the appropriate address to which results are to be sent—use this form only. Do not worry that it says
“Teaching Credential” instead of “PPSC.” Fees for Live Scan vary; shop around. At SJSU fees included:
$20 SJSU + $24 FBI + $32 CA DOJ + $15 Child Abuse Check = $91
2.
Apply for the Certificate of Clearance at https://teachercred.ctc.ca.gov/cctc_phase3/InteractionMgr?interactionmgr.interaction=Enter_Gener alApplication (has been about $30.00). When the application has been cleared and completed, the student will receive an email explaining where to go to print out the Certificate of Clearance. Print at least 3 copies. One will be needed for the PPSC Portfolio; one for the PPSC application; and one for personal records. The University’s application instructions for a certificate of clearance can be found at the SJSU Credential Services website, under a heading called “How to apply for a
Certificate of Clearance” at http://www1.coe.sjsu.edu/credentialservices/fingerprint.shtml
.
Evaluation of Candidate in School Placement: An evaluation form completed by the SSW internship FI, and to be discussed with the student and the FFL. A copy must be submitted for the PPSC Portfolio. This is a separate evaluation from the regular program field evaluation form (See forms). Students must receive
“Excellent,” “Very Good,” or “Good” ratings. Ratings of “Fair” or “Poor” will require remedial planning/conferencing between the student, FI, and FFL, to include the PPSC Coordinator, if indicated.
PPSC Field Hours Verification: A form verifying internship hours (see forms).
Copy of SJSU Transcript: The official MSW transcript will not be available until a few weeks after graduation however this is needed for one to apply for the PPSC. The transcript will also be needed for the PPSC
Coordinator to complete the Exit Review to verify that the candidate passed all required coursework, and that the MSW was awarded with a cumulative GPA > 3.0,. The transcript for the PPSC application must be
official, but does not need to be in a sealed envelope. The copy for the PPSC Portfolio does not have to be official. Official transcripts must be requested in writing and are free. The form can be accessed at http://www.sjsu.edu/registrar/students/transcripts/ or to request on line (fastest path) https://www.credentials-inc.com/CGI-BIN/DVCGITP.pgm
Unofficial transcripts can be viewed and printed from MySJSU. If a student has an incomplete from any program at SJSU on their transcript, they cannot be awarded the MSW degree. Be sure to clear up all incompletes, even if it is not a required course for the
MSW degree.
Exit Review Form: At the end of the MSW program, the PPSC Coordinator meets with each PPSC student to generate an Exit Review Form, which verifies that all program requirements were fulfilled. It is the responsibility of the student to make sure that this meeting takes place. This completed form is needed when the student makes PPSC application (see Forms).
Additional Forms that May be Used in the PPSC Portfolio
Contact Information Update Sheet: Students are encouraged to use this form to update their PPSC Portfolio if their contact information changes, such as email, address, phone, cell, or name.
Application for Credential Authorizing Public School Service (CTCC form 41-4): This is the official PPSC application. It is not required in the PPSC Portfolio, however, students are encouraged to submit a copy for their PPSC Portfolio, so it is clear that the application has gone forward, and to aid in future paperwork requests, such as out-of-state equivalencies. This form is at the CTCC website; specifically at http://www.ctc.ca.gov/credentials/leaflets/414.pdf
.
Forms to Help Organize the PPSC Sequence
6

PPSC Student Timeline: A task-focused timeline to serve as a PPSC student guide (see forms).
PPSC Program Planning Form: Some students find this sequence planning form helpful. It is not required.
Although it used to be required for credential application, information is now included in Exit Review Form (see forms).
PPSC Log for Student’s Records and PPSC Checklist: Created as a tools for students to keep track of their portfolio contents and progress through the program.
II. Completing MSW Course and Field Work
Students must demonstrate competencies as set forth by the CCTC PPSC Standards. There are generic standards shared by all PPSC categories (including counseling and psychology) and specific standards for School Social Work
(SSW) and Child Welfare & Attendance (CWA). These represent the guiding principles for the curriculum, along with the Council on Social Work Education (CSWE) guidelines. Students are occasionally requested to complete surveys to fulfill assessment requirements to maintain PPSC accreditation with the CCTC.
In addition to the satisfactory completion of all MSW program requirements, school social work sequence students must take the following 3 classes during their second year (fulltime students):
1.
SW 272 Social Work in Educational Settings
2.
SW 263 Social Work and the Law
IMPORTANT CHANGES FOR NEW SCHOOL SOCIAL WORK STUDENTS
Due to budget issues, the MSW course work for the PPSC has changed.
270 and 271 have been combined into 1 required summer class.
Students must complete their final year field work (SW 232-233, Social Work Practice III-IV) in an educational setting.
The specific requirements of the PPSC field experience are outlined below.
Field Hour Requirements
For the PPSC in School Social Work and Child Welfare & Attendance students must have: o A minimum of 1000 hours of field education, which include: o 450 school site hours supervised by a PPSC Practitioner. (The SJSU School of Social Work requires this practitioner to also be an MSW two years post graduation. Exceptions to this must be discussed with the PPSC Coordinator and Field Director.) Of the 450 school site hours:
 350 must be completed at one age level (preschool, elementary, middle/jr.high, high school);
 100 hours completed at a different age level; and
 at least 100 hours must be with at least 10 students who are racially/ethnically different than the intern; o 150 additional hours required for authorization in Child Welfare and Attendance that must relate to laws affecting child welfare, attendance, student rights, discipline, or child labor, with stipulations that:
 a minimum of 90 of these hours must be completed in a school setting with direct contact with pupils;
 a minimum of 30 hours are in interdisciplinary experiences outside of education such as juvenile, justice, child mental health, child welfare, child health, social services, or CBOs; and
 the remaining 30 hours can be at the discretion of the university supervisor; o remaining hours which come from the student’s first year internship in a non-school setting.
7

III. Submitting a PPSC Application
After MSW graduation and all program requirements have been fulfilled, students apply for the actual PPS
Credential. They must wait until their official transcripts are available (usually late June, early July) showing their
MSW was awarded. Remember there are fees attached to the CBEST, Fingerprinting, Certificate of Clearance, and
Credential Application. Directions for submitting an application for the credential can be found at the SJSU Credential website http://www1.coe.sjsu.edu/credentialservices/main.html
under “credential forms and requirements” . Students are advised to walk required forms to the Credentialing Office if possible, although they will accept them by mail.
However, they request that all forms arrive together. Do not have transcripts sent separately. The office is located at
107 Sweeney Hall; credential application packets are available there. The packets contain the forms that are available online. For the application, MSW PPSC applicants will be required to have:
 Information Coversheet http://www.sjsu.edu/education/docs/cred_office/Information_Coversheet_New.pdf
 Official SJSU Transcript (does not need to be in a sealed envelope)
 Official Undergraduate Transcript (not always required, but students are advised to have on hand if you obtained undergraduate degree at university other than SJSU)
 Certificate of Clearance
 CBEST results
 Exit Review Form from School of Social Work PPSC Coordinator
There is a checklist available online at http://www1.coe.sjsu.edu/credentialservices/main.shtml
Students will be required to pay a $25 dollar processing fee for each credential, online. There is a link at http://www1.coe.sjsu.edu/credentialservices/main.shtml
Generally, it takes 2-4 weeks to obtain the credential after application is completed online. However, budget cuts have made this time period longer. There is a Frequently Asked Questions sheet on the credential website under the
“Contact Us/Questions” heading.
When graduates finally obtain the credential, they are encouraged to send a photocopy to the SJSU MSW
PPSC office to place in their PPSC Portfolio for record keeping purposes.
When graduates apply for their first school social work position, before they have obtained their official
PPSC, employers will often want proof that the PPSC application is in process. Save a copy of application forms for this purpose.
Credentials must be renewed through the CCTC every 5 years.
Guidelines and Forms Appear in the Following Order
PPSC Student Timeline
PPSC Personal Statement Guidelines
PPSC Journal Guidelines
Portfolio Log for Student’s Records
Notice of Intent to Pursue the PPSC
Field Education Learning Agreement: Authorization in School Social Work
Field Education Learning Agreement: Authorization in Child Welfare & Attendance
Field Hours Verification
Evaluation of Candidate in School Placement by Field Instructor Form
Program Planning Form
Contact Information Update Sheet
Professional School Social Work Organizations
PPSC Checklist
8

School of Social Work Pupil Personnel
Master of Social Work Services Credential
Date
Start of Foundation Year
Fall of Foundation Year
January 31, Foundation Year
January 31, Foundation Year
Spring of Foundation Year
Summer Registration
Summer (or anytime before you apply for the credential)
Before 2 nd Year School-based
Internship
Before 2 nd Year School-based
Internship
Fall of 2nd Year (First Semester of
School-based Internship)
Fall Semester of 2nd Year
Spring Registration Deadline for 2 nd
Year
Spring of 2 nd Year (or before)
2nd Year—at least several months before you want to apply for the credential
After Fingerprinting
Keep copies of all documents
Task
Be sure 1 st year field placement is not in a school setting!
Attend PPSC Information Meeting
Read PPSC Manual
Complete Notice of Intent & submit to PPSC
Coordinator
Write Personal Statement to PPSC Coordinator; guidelines in manual
Arrange School-Based Internship with PPSC
Coordinator & FFL
Register for SW 272: Social Work in Educational
Settings
Take the CBEST. A good time to do this is when you are not in classes.
TB Test
Documentation
Pick up PPSC Manual or See Online
Notice of Intent
Submit copy to PPSC Coordinator
Have updated resume ready & in excellent shape!
Results will be sent to you. Do not lose them.
Obtain copy of results; save this
Fingerprints for the internship—all schools require this
Complete School Social Work Learning
Agreement; Complete Child Welfare &
Attendance Learning Agreement
Complete PPSC Journal: Guidelines in PPSC manual
Register for
SW 263: Social Work & the Law
Order Official transcripts from your
Undergraduate degree
Live Scan Fingerprinting (this will need to be done even though you were fingerprinted for your school internship)
Apply for Certificate of Clearance
Follow the school’s instructions
Submit a copy to the PPSC
Coordinator; your FFL & Field
Instructor should also have copies
Submit copy of Journal to PPSC
Coordinator
Keep sealed.
Needed for credential application
Save your copy of fingerprint submission
Near the end of School-based
Internship
At the end of School-based internship
Just before graduation
End of June/Early July
Upon Completion of Exit Review with Official Transcripts
Have field instructor complete PPSC Student
Evaluation by Field Instructor
Have field instructor complete
PPSC Field Hours Verification
Complete Exit Review
Apply for Official SJSU MSW Transcripts
Apply for PPS Credential
Clearance will be sent via email
Print at least 3 copies
Submit signed copy to PPSC
Coordinator
Submit signed copy to PPSC
Coordinator
PPSC Coordinator completes Exit
Review Form
Copy for PPSC Coordinator & Copy for Credential Application
Documentation taken to Credentialing office in Sweeney Hall
9

School of Social Work Pupil Personnel
Master of Social Work Services Credential
Candidates for the Pupil Personnel Services Credential Program (PPSC) must submit a Personal
Statement for their PPSC Portfolio by January 31 of the foundation year. This statement describes the student’s interest in and readiness to participate in transcultural school social work.
Format Instructions:
The personal statement MUST:
1.
Include the student’s name, expected date of graduation, and submission date;
2.
Be typed in 12-point standard font (such as Times New Roman, etc.);
3.
Be double-spaced with one inch margins;
4.
Be single-sided, with a total of no more than 1000 words;
5.
Be proofread and considered a strong example of the student’s writing; and
6.
Be directed at the content listed below.
Content of Personal Statement
The Personal Statement must address the applicant’s:
1.
Commitment to education and to working with at-risk groups in schools;
2.
Transcultural awareness and skills areas;
3.
Ability to work with people from diverse backgrounds, including racial, ethnic, religious, and socioeconomic groups; as well as, diverse sexual orientation, gender identity, age, and physical and mental health conditions;
4.
Awareness of social barriers that affect educational achievement;
5.
Respect for and understanding of teachers and other educational professionals; and
6.
Career goals in pre-K – 12 educational settings.
This statement should be submitted to the PPSC Coordinator.
10

School of Social Work Pupil Personnel
Master of Social Work Services Credential
The PPSC Journal documents student field observations and attendance at the following required meetings, at the primary school site:
1.
Back-to-School Night,
2.
Student Study Team or Student Success Team (SST),
3.
Individual Education Plan (IEP),
4.
School Attendance Review Board (SARB),
5.
School Board Meeting,
6.
Staff/Faculty Meeting,
7.
School Assembly, and
8.
PTA/Home School Club Meeting or some equivalent parent group.
Journal entries should include the following:
Title of Meeting Date
School Setting Purpose of Meeting
Observations
One Observed Challenge
One Observed Strength
One Question for Supervision
Do not use actual names. Please type entries and discuss these experiences with supervisors.
Students may use the following template, if desired.
SJSU MSW PPSC Journal Entry
Date:
PPSC Student:
Meeting Title (Check One)
Back-to-School IEP
SST SARB
School Setting (Check One) preschool elementary middle/jr high
Faculty
Assembly alternative
Meeting’s Purpose:
Observations:
One Observed Strength:
One Observed Challenge:
Supervision Question:
School Board
PTA district-wide
7/08
11

School of Social Work Pupil Personnel
Master of Social Work Services Credential
Program Program
12

School of Social Work Pupil Personnel
Master of Social Work Services Credential
Program Program
(Form Due January 31 st of MSW Foundation Year)
I, ____________________________________, intend to pursue the PPSC with authorizations in School
Print Name
Social Work and Child Welfare and Attendance.
I understand that I must take and pass the California Basic Educational Skills Test (CBEST) in order to be a candidate for the credential.
I further understand that the PPSC requires the following course of studies:
1.
a completed field placement of one academic year in a mental health agency or a family youth and children agency,
2.
a completed field placement of one academic year in an approved school setting during the second year of the MSW program, and
3.
enrollment in the School Work Specialization in the second year of the program or third year of the program for part time students.
Signature ____________________________________Date __________________________
Address ____________________________________________________________________
Street Address
______________________________________________________________
City State Zip Code
Home Phone _________________________ Cell Phone _____________________________ email __________________________________ Expected Graduation Date ____________
Optional For Statistical Purposes:
Ethnicity _____________________ Sex M F Transgender
Languages spoken other than English ______________________________________
Rev 7/08
13

School of Social Work; Master of Social Work Pupil Personnel Services Credential
Candidates & field instructors should refer to the School Social Work “Field Requirements ” in the PPSC Manual before completing the Learning Agreement. Tasks/ Assignments may also include the candidate’s field experience in the 1 st year placement.
Student ____________________________ School Site______________________ FI _____________________
Credential Requirement
1.
Social Work
Foundations
2.
Professional Ethics
3.
Wellness & Resiliency
Promotion
4.
Direct Learning Support
Services
Tasks/ Assignments which Demonstrate Knowledge
(Tasks may be added to this required list) o Familiarize self with role of school social workers in school district & school site o
Examine CCTC PPSC SSW Standards online, http://www.ctc.ca.gov/educator-prep/standards/pps.pdf o Review NASW Standards for SSW o Discuss ethical/value issues in supervision, as needed o Complete at least 1 biopsychosocial-spiritual client assessment, using a strength-based, ecological, transcultural perspective o Complete at least 1 home visit o Complete & implement at least 1 intervention plan (can focus on prevention, intervention, or crisis intervention) o Complete the termination process with at least 1 client o Attend at least 1 school assembly in the fall semester (Journal) o Review cumulative folders of assigned clients o Review available psychological files of assigned clients; complete at least 1 review with school psychologist to allow for inquiry about & explanations of assessments o If health clinic or nurse on site (or in district), review at least 1 health file o Become aware of dental, vision, health screenings offered in the school/district, & referral resources in community o Observe clients on school yard, at lunch, before/after school, etc.; observe social, nutritional, behavioral norms & deviations o Plan & facilitate or co-facilitate at least 1 group meeting/intervention (session or ongoing) o Observe clients in classroom setting (with teacher permission) o Attend at least 1 Student Study Team Meeting (Student Success Team) in the fall semester
(Journal) o Participate in at least 1 IEP in the fall semester (Journal) o Work with at least one special education student & meet with special education staff o Learn the intent & eligibility requirements for services under: IDEA, Section 504 of Rehabilitation
Act of 1973, ADA, & the Hughes Bill o Learn intent & theory of inclusion o Learn acronyms such as: LH, IDEA, ED, SELPA, RSP, APE, ED, EH, SED, IEP, 504, SST, etc. o Learn to identify barriers to learning affecting individuals, including learning & emotional difficulties; devise & implement at least 1 solution o Learn to recognize “red-flags” for learning disabilities or extreme “giftedness” o Learn the requirements for graduation and/or grade promotion; the California Exit Exam for high school placements; and the parameters for grade retention
14

5.
System Level Learning
Support Services
6.
Pupil, Family, Faculty,
Community Linkages &
Partnerships
7.
Research
8.
Supervision
9.
SSW Hour
Requirements
10.
Placement Completion
Date o Attend at least 1 faculty/staff meeting in the fall semester (Journal) o Interact with faculty/staff in non-classroom settings (faculty lounge, lunch room, yard duty, etc.) o Provide one training session for faculty or staff, if at all possible o Learn to identify barriers to learning affecting groups & communities; devise & implement at least 1 solution o Observe & discuss with FI systemic barriers, such as intolerance, oppression, bullying, violence, abuse, substance use, poverty, poor health/mental health care, poor nutrition, limited supervision, limited healthy diversion activities, risk-taking behaviors, etc. o Attend Back to School Night (Journal) o Attend at least 1 School Board Meeting in the fall semester (Journal) o Attend at least 1 PTA/Home School Club meeting in the fall semester (Journal) o Learn district attendance boundaries & policies for intra/inter district transfers o Build skills of communication, collaboration, linking, consulting, team-building, facilitation, conflictresolution & problem-solving for both intra- & inter- agency challenges o Learn surrounding community resources o Observe the neighborhood community by car, bus, walking, etc. & discuss with FI o Apply evidenced-based research to school challenges (whether micro, mezzo or macro) o Discuss research (298) plan with FI & FFL, & complete per 298 requirements (if related to the placement) o Weekly supervision with PPSC practitioner o Discuss cases with attention to developmental norms, strengths, & cultural competence; using a holistic approach in the service of achieving positive educational outcomes o Discuss & evaluate effectiveness of interventions o Use process recordings, audio, video taping, as available for learning, & as requested by supervisor o Overall, 1000 hours of fieldwork experience (including 1 st year internship); of which a minimum of
450 are in a school-based setting supervised by a PPSC practitioner o Minimum of 100 of these 450 hours are with at least 10 pupils of ethnic background different than the candidate o School hours must be in at least two age groups settings (preschool, elementary, middle, high), with a minimum of 100 hours at each setting o If the candidate must remain in placement beyond the last field day as scheduled by SJSU School of Social Work, the date of the last day must be agreed upon by the candidate & listed here.
Malpractice insurance must be provided by the school/agency for these extended days. o Final placement date: ________________________________
__________________________ ____________________________ _______________
Candidate Signature Field Instructor Signature Date
__________________________ ___________________________
Faculty Field Liaison Signature PPSC Program Coordinator Signature
15

School of Social Work; Master of Social Work Pupil Personnel Services Credential
Candidates and field instructors should refer to the Child Welfare & Attendance “Field
Requirements ” in the PPSC Manual before completing the Learning Agreement. Tasks/
Assignments may also include the candidate’s field experience in the 1 st year placement.
Student ____________________________ School Site_____________________ FI ________________________
1.
1.Work with issues related to Child Welfare laws
2.
Work with issues related to
Attendance
(Tasks may be added to this required list) o Participate in at least 1 child welfare related case o Learn school’s child abuse/neglect reporting protocols o Learn school attendance policies o Learn where to access & how to read student attendance records o Learn alternatives to regular school attendance o Participate in at least 1 school attendance review (SARB) meeting (Journal)
3.
Work with issues related to
Student Rights
4.
Work with issues related to
Discipline o Review school student manual o Observe application of due process, notifications, etc. o Familiarize self with rights of homeless and migrant students o Observe at least one disciplinary process, whether this involves family conferencing, detention, suspension, Saturday School, etc. o Observe the school’s interpretation/application of Zero Tolerance laws o Meet and discuss system-wide disciplinary challenges with school “disciplinarian” or rule enforcer; often this involves the assistant principal
5.
Work with issues related to
Delinquency
6. Other issues/ interventions related to students, families, school personnel o Observe school’s interface with law enforcement and juvenile justice o Become familiar with any security staff, protocol on school grounds o Learn how school deals with child custody laws; how is this information documented at the school?
7. CWA Hour requirement o A minimum of 150 clock hours of field experience under a PPSC supervisor o Minimum of 90 in direct contact with pupils in a school setting o Minimum of 30 in interdisciplinary setting outside field of education, such as Juvenile Justice,
Child Welfare, Mental Health, CBO (1 st year internship) o Remaining 30 @ discretion of university supervisor
__________________________ ____________________________ _______________
Candidate Signature Field Instructor Signature Date
____________________________________ _____________________________________
Faculty Field Liaison Signature PPSC Program Coordinator Signature
16

School of Social Work Pupil Personnel
Master of Social Work Services Credential
Candidate’s Name ________________________________ __ Date ____________
First Year Field Placement: ___________ Second Year Field Placement _________
Total Hours Total Hours
Authorization in School Social Work
1. Primary School Site : ______________________________________________________
Address _____________________________________________________________
Grade Level _____If applicable, please check: □ Special Ed □ Alternative Ed
2. Secondary School Site: ___ ________________________________________________
Address ____________________________________________________________
Grade Level ___ __If applicable, please check: □ Special Ed □ Alternative Ed
3. Field Education Hours for School Social Work Authorization
Please list candidate’s hours for each level.
A minimum of 350 primary site hours and 100 secondary site hours is required (total 450).
Pre-School______ Elementary______ Middle School______ High School______
4. Work with students of a racial/ethnic background different from the candidate’s.
Ten (10) students minimum / 100 hours required (can be part of the required 450 hours).
Candidate’s Ethnicity: ____________________ # of students served: ________
Authorization in Child Welfare & Attendance
150 hours must relate to child welfare, attendance, student rights, discipline, and/or child labor issues.
Sixty (60) of these hours may be acquired in a child, family, or mental health agency (1 st year placement).
5. Name of non-school agency ( health/mental health, child welfare, etc) _____________
___________________________________________________________________________
Total Hours related to Child Welfare & Attendance ______150 required
Signatures:
_______________ _______ ________________ ______ _________________ ______
Candidate Date Field Instructor (I) Date Faculty Field Liaison Date
________________ ______ (If applicable)
Field Instructor (II) Date
17

Candidate’s Name ______________________________________________________
Agency Name:__________________________________________________________
PPSC Field Instructor’s: _____________________________________________
Please evaluate the candidate’s overall performance and demonstration of knowledge during both semesters in the school placement. Please be as specific as possible.
1. Ability to the deliver professional social work services in an educational setting, including the application of social work theories, values, and ethics.
 Excellent (5)
Comments:
 Very Good (4)  Good (3)  Fair (2)  Poor (1)
2. Ability to develop a professional social work role within the school as an ecological system collaborating with educators and school staff.
 Excellent (5)  Very Good (4)  Good (3)  Fair (2)  Poor (1)
Comments:
3. Demonstration of skills to conduct biopsychosocial-spiritual assessments and formulate/implement intervention plans which promote wellness and resiliency.
 Excellent (5)  Very Good (4)  Good (3)  Fair (2)  Poor (1)
Comments:
4. Ability to link home, school, and community, fostering communication among all constituents.
 Very Good (4)  Good (3)  Fair (2)  Excellent (5)
Comments:
 Poor (1)
18

5. Ability to identify and advocate for learning support needs of at risk groups in the school setting.
 Excellent (5)  Very Good (4)  Good (3)  Fair (2)  Poor (1)
Comments:
6. Ability to critically analyze evidence-based research findings and apply best practices to the school’s populations and challenges.
 Excellent (5)  Very Good (4)  Good (3)  Fair (2)  Poor (1)
Comments:
7. Ability to apply Child Welfare and Attendance laws and regulations in the service of furthering student success.
 Very Good (4)  Good (3)  Fair (2)  Poor (1)  Excellent (5)
Comments:
8. Readiness for autonomous practice within the school system.
 Excellent (5)  Very Good (4)  Good (3)  Fair (2)  Poor (1)
Comments:
Candidate Comments:
Candidate Signature______________________________ Date ______________________________
Field Instructor Signature __________________________Date______________________________
Faculty Field Signature ___________________________Date ______________________________
Rev 8/08
19

San Jose State University
School of Social Work
Pupil Personnel Services Credential Program
Credential Objective:
Pupil Personnel Services Credential w/
Authorization in Child Welfare & Attendance
Name___________________________________ Ph # __________________Email__________________________
Address_____________________________City______________________State/Zip__________________________
Bachelors Degree University _________________________ CBEST: (Date passed) ______________________
Graduation Date ________________________________
_____________________________________________________________________________________________
Course Title Units Sem/Yr to be Sem/Yr Grade
Completed Completed
Soc W 202 Social Policy
Soc W 212 HBSE
Soc W 220 Meth Trans Prac
Soc W 240 Research Mthds & Design
Soc W 230 Soc W Practice
Soc W 204 Soc Pol Analysis
Soc W 214 HBSE II
Soc W 221 Meth Trans Cul Prac II
Soc W 242 Res Eval & Design
Soc W 231 Soc W Prac II
Soc W 222 Trans Fam Prac SW
Soc W 223 Trans Comm Prac SW
Soc W 298 Special Project
Soc W 232 Soc W Pract III
Soc W 263 SW and Law
Soc W 298 Special Project
Soc W 233 Soc W Pract III
Soc W 272 SW in Educational Settings
3
3
3
3
4
3
3
3
3
4
3
3
1
5
2
5
3
3 Su _____ Su______
Approved Course Substitution
Soc W _____ ____________________ 3 F S Su _____
Expected Date of Program Completion F S Su ________
____________________________________________
Candidate Signature Date
Rev 8/08
F S Su _____
F S Su _____
F S Su _____
F S Su _____
F S Su _____
F S Su _____
F S Su _____
F S Su _____
F S Su _____
F S Su _____
F S Su _____
F S Su _____
F S Su _____
F S Su _____
F S Su _____
F S Su _____
F S Su _____
F S Su _____
F S Su _____
F S Su _____
F S Su _____
F S Su _____
F S Su _____
F S Su _____
F S Su _____
F S Su _____
F S Su _____
F S Su _____
F S Su _____
F S Su _____
F S Su _____
F S Su _____
F S Su _____
F S Su _____
F S Su _____
______
______
______
______
credit
______
______
______
______
credit
______
______
credit
credit
______
______
credit
credit
______
_____________________________________
Credential Program Advisor Date
20

School of Social Work Pupil Personnel
Master of Social Work Services Credential
Program Program
Name (print) ____________________________________ Date_______________________
Address ____________________________________________________________________
Street Address
______________________________________________________________
City State Zip Code
Home Phone _________________________ Cell Phone _____________________________ email __________________________________
Employer __________________________________________________________________
Job Title ___________________________________________________________________
Year MSW Graduation is expected ___________or year MSW was completed ___________
If applicable, year PPSC obtained ___________
Rev 11/07
21

22

School of Social Work
MSW School Social Work
Pupil Personnel
Services Credential (PPSC)
PPSC Checklist
Successfully completing the MSW School Social Work requirements makes one eligible to apply for the California
State Pupil Personnel Services Credential (PPSC) in 2 areas: 1) School Social Work and 2) Child Welfare &
Attendance. These credentials are administered through the California Commission on Teacher Credentialing (CTC)
— not SJSU.
Students are strongly advised to keep copies of completed documents for their own records.
The SJSU MSW PPSC Office will maintain a student file. Students are responsible for making sure copies of required documents get turned into the MSW PPSC Office.
To join the School Social Work sequence, students should:
 be sure the foundation year internship IS NOT IN A SCHOOL-BASED SETTING,
 attend a PPSC information meeting in the fall of the foundation year,
 review the School Social Work information on the department website,
 complete a Notice of Intent to pursue the PPSC before January /31 of the foundation year, and
 submit a Personal Statement by January 31 of the foundation year.
Within the MSW program you must successfully complete:
 foundation year coursework;
 a foundation year field practicum THAT IS NOT IN A SCHOOL-BASED SETTING,
 SW 272 in the summer between foundation and final year
 SW 263 (Social Work and the Law) in the spring of the advanced year;
 an advanced school-based PPSC approved field practicum that involves 2 age levels of service delivery,
 a PPSC Journal of experiences in the school-based practicum,
 PPSC specific Learning Agreements for both the School Social Work Authorization and Child Welfare &
Attendance Authorization (these are in addition to the regular MSW Second Year Field Education Learning
Agreements);
 an Evaluation of Candidate in School Placement as completed by the field instructor;
 a Field Hours Verification Form;
 a PPSC Exit Interview; and
 a PPSC Exit Survey.
To apply for the PPSC with the State, candidates must also:
 pass the CBEST (California Basic Educational Skills Test);
 obtain a TB test;
 obtain live scan fingerprinting (separate from any that is required for your internship);
 obtain a Certificate of Clearance or provide a copy of emergency teaching permit or multiple/single subject
10/12 teaching credential
 obtain official transcripts
 complete a PPSC application
 pay all accompanying fees (fingerprints, applications, CBEST, etc.)
23